Usefulness of eight screening tools for predicting frailty and postoperative short- and long-term outcomes among older patients with cancer who qualify for abdominal surgery

Oncogeriatric. Other frailty assessment instruments

“…The role in older oncologic surgical patients is still a matter of debate. In our analysis, comparing eight different frailty tools in older cancer patients undergoing high-risk abdominal surgeries, the Fried Frailty Criteria had only moderate accuracy predicting frailty, 30-day morbidity and mortality [11].…”

“…Details of their features were presented in the previous article in the Nowotwory Journal of Oncology -Oncogeriatric (part 8). Frailty screening tools can be very beneficial as they can identify patients at risk of frailty and check for adverse outcomes, particularly in situations where there is a lack of experience in the full GA, in acute admitted patients and with low-/moderate-risk surgery [11]. However, only the full GA currently allows for appropriate and full preoperative evaluation and treatment optimisation.…”

The Pre-Operative GRADE Score Is Associated with 5-Year Survival among Older Patients with Cancer Undergoing Surgery

“…Indeed, our study results show that in the high-risk group (GRADE > 8), patients were older, more dependent, had higher ASA and ECOG-PS scores, a more frequently abnormal G8-index, and greater cognitive impairment. Over the post-operative period ranging from 6 months to 7 years, all of these pre-operative factors are known to be associated with poorer survival among older patients undergoing major cancer surgery [ 10 , 27 , 28 , 29 , 30 , 31 ]. However, the GRADE score remains independently associated with 5-year mortality after adjustment for IADL-dependency and malnutrition (BMI < 21 kg/m 2 ).…”

Oncogeriatrics (part 8.). Frailty screening tools

“…In our recently published paper, the G8 had the highest sensitivity and negative predictive value in frailty screening among patients with cancer undergoing high-risk abdominal surgery. In turn, the aCGA had the highest discriminatory ability in terms of frailty screening in this population [13].…”

“…Therefore, the choice of the score might relay on specific clinical conditions, the aim of the tool and department resources [14]. In the case of preoperative assessment of older patients with solid abdominal cancer, the G8 and the aCGA seems the most suitable [13].…”